Provider Demographics
NPI:1689211948
Name:CABRERA BATISTA, HECTOR LORENZO
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:LORENZO
Last Name:CABRERA BATISTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6602 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2922
Mailing Address - Country:US
Mailing Address - Phone:305-582-3201
Mailing Address - Fax:
Practice Address - Street 1:6602 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2922
Practice Address - Country:US
Practice Address - Phone:305-582-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC166332974180343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)